The expected and actual communication of health care workers during the management of intrapartum : an interpretive multiple case study

dc.contributor.authorM’Rithaa, Doreen K.M.en_ZA
dc.contributor.authorFawcus, Sueen_ZA
dc.contributor.authorKorpela, Mikkoen_ZA
dc.contributor.authorDe La Harpe, Rethaen_ZA
dc.date.accessioned2016-09-22T10:20:24Z
dc.date.available2016-09-22T10:20:24Z
dc.date.issued2015-12en_ZA
dc.descriptionCITATION: M’Rithaa, D. K., et al. 2015. The expected and actual communication of health care workers during the management of intrapartum : an interpretive multiple case study. African Journal of Primary Health Care & Family Medicine, 7(1):1-8, doi:10.4102/phcfm.v7i1.911.en_ZA
dc.descriptionThe original publication is available at http://www.phcfm.org
dc.description.abstractBackground: Daily activities within a health care organisation are mediated by information communication processes (ICP) involving multiple health care professionals at different levels of care. Effective perinatal management requires critical information to be accurately communicated. If there is a breakdown in this communication patient safety is at risk for various reasons such as: inadequate critical information, misconception of information and uninformed decisions being made. The purpose of this study was to interpret the complexities around ICP in order to contribute to the effective management of the intrapartum period. Methods: Multi method, multiple case study approach was used to understand the ICP during the management of the intrapartum period. During the study, the expected ICP, the actual ICP, the challenges involved and the desired ICP were analysed. Twenty-four in-depth interviews with skilled birth attendants (SBAs) employing observer-as-participant roles, field notes, and document review methods were utilised to gather the data. Thematic analysis was utilised to analyse the data using Atlas TI software. Results: The study revealed three subthemes which emerged from the expected ICP, whilst three others that emerged formed the theme actual ICP. The subthemes from the expected ICP included: accessibility of obstetric services, expected referral, recommended tools, expected communication and expected documentation. The theme actual ICP held threee merging subthemes: the handover processes, collaborative information seeking, information communicated and referral processes. Conclusion: This study showed that what was expected was not what was actually happening. The requirements of the policies and protocols need to be effectively implemented to improve practice building these into current biomedical guidelines.en_ZA
dc.description.urihttp://www.phcfm.org/index.php/phcfm/article/view/911
dc.description.versionPublisher's version
dc.format.extent8 pagesen_ZA
dc.identifier.citationM’Rithaa, D. K., et al. 2015. The expected and actual communication of health care workers during the management of intrapartum : an interpretive multiple case study. African Journal of Primary Health Care & Family Medicine, 7(1):1-8, doi:10.4102/phcfm.v7i1.911en_ZA
dc.identifier.issn2071-2936 (online)
dc.identifier.issn2071-2928 (print)
dc.identifier.otherdoi:10.4102/phcfm.v7i1.911
dc.identifier.urihttp://hdl.handle.net/10019.1/99674
dc.language.isoen_ZAen_ZA
dc.publisherAOSIS Publishing
dc.rights.holderAuthors retain copyright
dc.subjectMothers -- Mortalityen_ZA
dc.subjectHealth care personnelen_ZA
dc.subjectMaternal health servicesen_ZA
dc.subjectCommunicationen_ZA
dc.titleThe expected and actual communication of health care workers during the management of intrapartum : an interpretive multiple case studyen_ZA
dc.typeArticleen_ZA
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